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FOR ELYSA FOUNDATION: Form 990EZ, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FOR ELYSA FOUNDATION (EIN 46-3700138)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-04-25
IRS object ID
202431169349201203
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-25T12:42:56-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463700138EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOR ELYSA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOREBusinessNameControlTxt
Phone3123699707PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114421 S Alden CtAddressLine1Txt
CityOlatheCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66062ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJana RojasPersonNm
Person TitlePresidentPersonTitleTxt
Phone3123699707PhoneNum
Signature2024-04-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJanaPersonFirstNm
Person LastRojasPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB0LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.ForElysa.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$56,700GrossReceiptsAmt
Contributions Gifts Grants Etc$46,529ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$0InvestmentIncomeAmt
Sale Of Assets Gross$0SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$10,146FundraisingGrossIncomeAmt
Special Events Direct Expenses$6,843SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$3,303SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$25GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$25GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$0OtherRevenueTotalAmt
Total Revenue$49,857TotalRevenueAmt
Grants And Similar Amounts Paid$58,719GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members$0BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,028FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$0OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$156PrintingPublicationsPostageAmt
Other Expenses Total$0OtherExpensesTotalAmt
Total Expenses$60,903TotalExpensesAmt
Excess Or Deficit For Year-$11,046ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$49,564NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$38,518NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$49,564BOYAmt
EOY$38,518EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$49,564BOYAmt
EOY$38,518EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$49,564BOYAmt
EOY$38,518EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeThe For Elysa Foundation is established to provide education, light, and research with a goal of prevention of pediatric sudden cardiac arrest. Grants from our foundation fund pediatric specific myocarditis clinical research, with a goal of improving diagnosis and treatment of children with this unique condition. Additional grant money funded AED units and CPR training for a local school and youth dance program. Funding was also provided to support mental health counseling for individuals with pediatric cardiac diagnoses and their families. Our foundation granted gift cards and small gifts to children in hospitals across the country to provide light and hope during health challenges.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (5 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
Granted $10,000 start up money to a lab at University of Florida specifically focused on pediatric myocarditis research$10,000$0
Granted $40,000 to provide mental health support services to children with critical cardiac diagnoses and their families through the Ollie's Branch program. This program reached over 200 families in the Kansas City area in 2023.$40,000$0
Supported a program providing valentine cards and small gifts at 15 different pediatric healthcare facilities around the country, reaching 1,500+ individuals$0$2,977
Provided AED and CPR training to dance school program$0$1,639
Provided gift cards during the winter holidays for families in need treated in the Children's Mercy Heart Center, as identified by hospital social work staff.$4,102$0
FieldValueIRS element (for citing)
Total Program Service Expenses$4,616TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Jana Rojas
President2$0$0$0
Jaime Rojas
Board Member1$0$0$0
Beth Guerra
Board Member1$0$0$0
David Correa
Board Member0$0$0
Erica Kratofil
Board Member1$0$0$0
Ann Hackman
Board Member0$0$0$0
Emily Stevens
Board Member0$0$0$0
Kerri Troyer
Board Member0$0$0$0
Erin Cansler
Board Member0$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol Filed0Form1120PolFiledInd
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Uplift Bookkeeping LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1904 Ozark DriveAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75002ZIPCd
FieldValueIRS element (for citing)
Phone9729102380PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,662CurrentTaxYearMinus1YearAmt
Current Tax Year$46,530CurrentTaxYearAmt
Total$243,382TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$10,171CurrentTaxYearAmt
Total$10,171TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,662CurrentTaxYearMinus1YearAmt
Current Tax Year$56,701CurrentTaxYearAmt
Total$253,553TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$253,553PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,662CurrentTaxYearMinus1YearAmt
Current Tax Year$56,701CurrentTaxYearAmt
Total$253,553TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091PublicSupportCY509Pct
Public Support PY5091PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1For Elysa Foundation GalaEvent1Nm
Gross Receipts Event1$39,101GrossReceiptsEvent1Amt
Charitable Contri Event1$0CharitableContriEvent1Amt
Gross Revenue Event1$39,101GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$1,660NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,515FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$2,668OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$39,101GrossReceiptsTotalAmt
Charitable Contributions Tot$0CharitableContributionsTotAmt
Gross Revenue Total Events$39,101GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,660NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$0RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,515FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,668OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$6,843DirectExpenseSummaryEventsAmt
Net Income Summary$32,258NetIncomeSummaryAmt

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